Content from the Journal of the American Neurological Surgeons.
This video demonstrates the use of the robotic tool for a right upper lobectomy involving the dissection of a big lymph node. References Li C, Hu Y, Huang J, Li J, Jiang L, Lin H, Lu P, Luo Q. Comparison of robotic-assisted lobectomy with video-assisted thoracic surgery for stage IIB-IIIA non-small cell lung cancer. Transl Lung…
Fenestrations of the aortic valve have been described in patients with down syndrome, Marfan syndrome, in those with bicuspid or quadricuspid valves, and in patients with myxomatous valvular degeneration. While rare and an infrequent cause of valve disease, congenital fenestrations can also occur (1). When indicated, such fenestrations can be repaired using a variety of…
The 3D custom-made implant technique fills the chest hole but does not touch the ribs in the way that orthopedic techniques such as the Nuss technique or Ravitch technique do. The design of each implant is adapted to each patient’s anatomy. The intervention is simple, painless, with a rapid recovery and the results are immediate.…
Thymic carcinoma is a very rare disease in which cancer cells form on the thymus gland. Once the diagnosis is established, the surgical removal of the thymus (thymectomy), along with the excision of the mass, is the gold standard for treatment. Until recently, median sternotomy was the only approach. A few centers then introduced thoracoscopic…
The totally adherent pleura poses a challenge in mini-invasive procedures such as the RATS lobectomy. We were introduced to the SyncroSeal energy device for the DaVinci robot six months ago, and we have since performed lobectomies in three such patients. In this video we present our surgical strategy when faced with the totally adherent pleura.…
Dextrocardia is a rare congenital cardiac anomaly with the heart in the right side of the chest, which can often be associated with other complex congenital heart diseases. A 30-year-old male presented to our department with dyspnea on exertion NYHA grade IV. The 2D-ECHO showed dextrocardia, rheumatic heart disease with severe mitral stenosis, severe aortic…
There is close to a consenus regarding the surgical management of anterior mediastinal masses for the great majority of cases. However, there is continuous debate regarding the surgical approach to achieve optimal results. Therefore, we present a robotic strategy to achieve complete resection of a huge anterior mediastinal mass in a rare presentation of ectopic…
Although the traditional (median sternotomy) approach has been set as the standard for thymectomy due to its better visualization and control of the anatomical structures, video-assisted thoracoscopic surgery (VATS) thymectomy can offer a less invasive technique with fewer perioperative complications and better cosmetic outcomes. This article contains a video demonstrating the excision of an anterior…
The Enseal® Tissue Sealer device is used as an important instrument for performing a pulmonary right lower lobectomy. This instrument can be used in a number of ways, including: grasping, blunt dissection, sharp dissection, and coagulation. This results in fewer instrument swaps and therefore reduced operative time and instrumentation. In this video, the use of…
This video illustrates the surgical correction of ruptured sinus of Valsalva aneurysm in a 13-year-old patient. 1. The patient had an initial diagnosis of moderate aortic valve regurgitation on functional bicuspid aortic valve. 2. Preoperative echogram studies showed a mobile, round, cystic mass close to the right atrial septum just above the septal leaflet of…
We present the case of a 20-year-old man who presented with 3 days of fever and headache, as well as a dry cough and dysgeusia. A chest CT scan was performed and a lesion in the left upper lobe was observed. The previous medical history included toxic megacolon and a viral pericarditis. The PET scan…
CTSNet Live Webinar Aortic Root Enlargement: New Insights, New Techniques CTSNet was excited to present a webinar on aortic root enlargement with a highly esteemed group of presenters and panelists, including Ed Chen, CTSNet President Duke Cameron, Maral Ouzounian, and Bo Yang. The event, livestreamed on September 10, 2021, explored the issues of patient prosthesis…
This is a nice, simple right-sided thymectomy performed by Ian Paul and proctored by Sasha Stamenkovic, which was performed at James Cook University Hospital, Middlesbrough, UK. It also shows the set up from the outside views with the docking of the Intuitive Xi system and port placement. Hopefully this will be a useful video for…
Recovery following the neonatal Norwood procedure is often complicated by bleeding, acute kidney injury, systemic inflammatory response, and low cardiac function [1]. The traditional conduct of this operation under deep hypothermic circulatory arrest likely exacerbates these problems. Total body perfusion during Norwood reconstruction may improve post-operative recovery by cooling to only mild hypothermia and eliminating…
In this video we present our technique of total arterial myocardial revascularization using bilateral internal thoracic arteries and the right gastroepiploic artery as in-situ grafts for three-vessel disease. The left internal thoracic artery (LITA) is used as a sequential graft to the diagonal branch (Diag) and the left anterior descending artery (LAD). The right internal…
Introduction Levy et al [1] first described the aorto-left ventricular tunnel in 1963. This rare congenital malformation is an abnormal channel that connects the ascending aorta with the left ventricle, bypassing the aortic valve. In view of its rarity, surgical series are small. Most of the patients develop symptoms of heart failure during the first…
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